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  • Neonatology

How Can Cord Management Enhance Physiological Newborn Transition?

The transition that occurs from fetus to neonate is an important period that involves several critical physiological changes. Preterm infants born before 37 weeks’ gestation often have poorer outcomes and early cord clamping has been standard practice as this has allowed fast transfer to a specialist neonatal care unit.1 However, delayed cord clamping allows increased blood flow to the baby and may aid this transition and potentially improve outcomes in these infants.1

In this webinar Professor Heike Rabe and Professor Charles Roehr provide an overview of the definitions of optimal cord management methods and give a discussion of resuscitation versus physiological transition and the benefits of optimal cord management in term babies.

References

1. Rabe H, Gyte GM, Díaz-Rossello JL, Duley L. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database Syst Rev. 2019 Sep 17;9(9):CD003248. doi: 10.1002/14651858.CD003248.pub4. PMID: 31529790; PMCID: PMC6748404.

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Dr Charles Roehr

Dr Charles Roehr is a Neonatology Intensivist and Clinical Scientist at the Department of Paediatrics/Neonatology, University of Oxford.

Professor Heike Rabe

Professor Rabe is an honorary clinical senior lecturer and consultant neonatologist at Brighton and Sussex University Hospital since November 2002.